JOHN ELIOT NICOLAISEN PA
NPI 1548666738
Physician Assistant - Medical in Apple Valley, CA
About John Eliot Nicolaisen Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN ELIOT NICOLAISEN PA (NPI 1548666738) is an individual medical provider in Apple Valley, California, licensed in California (PA52168) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John Eliot Nicolaisen Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Nicolaisen's NPI number?
The NPI number for John Nicolaisen is 1548666738. It was assigned to this individual provider in the NPPES registry on November 14, 2014.
Where is John Nicolaisen located?
John Nicolaisen practices at 18523 Corwin Rd Ste G, Apple Valley, CA 92307. The listed phone number is (760) 242-3376.
What is John Nicolaisen's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is John Nicolaisen enrolled in Medicare?
Yes. John Nicolaisen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for John Nicolaisen was last updated on September 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# John Eliot Nicolaisen, PA · NPI 1548666738
Medical physician in Apple Valley, California. Individual provider, active in the CMS NPPES registry since November 14, 2014.
## Identity
- **NPI:** 1548666738 (Entity type: Individual)
- **Enumerated:** November 14, 2014
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA52168 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 18523 CORWIN RD STE G, Apple Valley, CA 92307-2300
- **Phone:** (760) 242-3376
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** September 11, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1548666738) · Data from the CMS NPPES public registry.